Jonathan Bornstein Deft Touch Soccer Academy
Small Group Training Based on all Aspects of the Game
Jonathan Bornstein Deft Touch Soccer Academy Registration Form
Ages 5-13 years (Academy Runs Year Round)
5-8yrs Fri 4:00-5:00pm Sat/Sun 9-10am
9-12yrs 4:00-5:00pm Mon/Thurs
Date of Birth:
Emergency Contact Name:
Emergency Contact Phone Number:
Check the Highest Level Currently Playing (High School Players Include HS Level)
Recreational Extra or Allstar
Competitive (Club) Bronze-Silver/Tier 3-2
Competitive (Club) Silver Elite-Premier/ Tier 1
Competitive (Club) Academy/ECNL
High School Frosh/Soph
High School JV
High School VAR
Deft Touch Soccer Center Online Waiver Completion
Parent/Guardian Completed Online Waiver @
9-12yrs Monthly Payments $165 a month **$145 a month with Minimum 3 Month Commitment** Payment due on the first of every month. (Sibling discounts available $20 off second child).
9-12yrs Drop-in $25 per session
5-8yrs Monthly Payments $165 a month **$145 a month with Minimum 3 Month Commitment** Payment due on the first of every month. (Sibling discounts available $20 off second child).
5-8yrs Drop-in $25 per session
Paypal Reoccurring Payment
Pay by Cash First Week of Each Month
Pay by Check First Week of Each Month
Pay by Credit Card First Week of Each Month
Academy Start Date
Date Athlete is Starting the Academy (06/07/2013)
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